Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric Wallace, MD

Individual provider Diagnostic Radiology Physician · NPI 1578502191

Eric Wallace, MD is a Diagnostic Radiology in Ventura, California. Graduated from Loma Linda University School of Medicine in 1999, 27 years ago. Practices with Whidbey Island Public Hospital District, a 99-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

168 N Brent St Ste 402
Ventura, CA 93003-2817
Phone: (888) 234-0004
Fax: (805) 641-3965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A85195 (CA)

Record details

NPI number1578502191
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESNovember 14, 2017
Mailing address4100 Guardian St, Ste 205, Simi Valley, CA 93063-6721

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Whidbey Island Public Hospital District — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

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